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19 Cards in this Set
- Front
- Back
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Follicular Thyroid Cancer:
Where do they spread early how do you differentiate a follicular cancer from adenoma |
Follicular thyroid cancer has early hematogenous spread to the lung brain and bone
On histo the finding of capsule invasion and blood vessels IS REQUIRED to differentiate follicular cancer from follicular adenoma. Pappilary thyroid cancer has no capsule |
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Papillary Thyroid Cancer:
Is it the most prevelent how is it characterized what is classic on histo is the prognosis good |
Yes
has slow infiltrative local spread affecting other part of the thyroid gland and regional lymph nodes. histo has psammoma bodies;=large cells with ground glass cytoplasm and pale nuclei with inculsion bodies EXCELLENT PROGNOSIS EVEN WITH METS |
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Which Thyroid cancer secretes cacitonin
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Medularry
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Which Thyroid cancers will have Hurlthe cells
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Papillary and Follicular
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What is the Definition of Osteomalacia?
who is it scene in? How does Vitamine D deficency lead to this? |
Characterized by defective mineralization of the bones.
It is scene only in adults after the epiphyseal plates have closed because decrase availability of calcium and phosphate at the minerilzation sites that causes softening and weakening of the bones especially weight bearing lower extremities. |
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Define Rickets
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Defect in bone and growth place cartilidege, caused by vit d definciency only scene in children.
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EKG Finding of A fib
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NO P WAVES Narrow complex QRS irregulary spaced out
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CLUSTER HA
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WAKES UP MEN IN MIDDLE OF THE NIGHT
RETROORIBITAL PAIN RX SUBQ SUMATRIPTAN AND 02 |
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PEPTIC STRICTURE
What else will cause it |
CIRCUMFRENTIAL NARROWING OF ESOPH. SCENE IN 15% OF BARRETS PATIENTS.
CAN ACTUALLY RESOLVE GERD DUE TO OBSTRUCTION CAUSES DYSPHAGIA FOR SOLIDS NO WEIGHT LOSS ALSO SCENE WITH POST RADIATION EXPOSURE, SCLERODERMA AND CAUSTIC INGESTIONS |
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MENINGITIS WITH BULGING FONTENELLS NEXT STEP IN MANAGMENT
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IN CHILDREN <1 NO NEED TO WORRY ABOUT HERNIATION BC OF ROOM GIVEN BY THE FONTANELLS.
1.LP THEN VAN CEFTRI AND DEXMETH |
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UMBILICAL HERNIA OPERATE IT
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HERNIA PERSISTS PASS 3-4 YRS
EXCEEDS 2CM IN DIAMETER SYMPTOMATIC STRANGULATED ENLARGES PROGESSIVLY PASSED 1-2 YRS |
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SIDE EFFECT OF EPO IN ENDSTAGE RENAL PATIENTS / WHEN TO GIVE EPO
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GIVE EPO WHEN HB IS UNDER 10
SE of IV specifically EPO are 30% increase BP >10mmgh of diastolic HA=15% and flulike =5% |
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watershed zone of GI
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#1= splenic flexure
#2=rectosigmoid junction xray way have thumbprinting on it and pt may have lactic acidosis |
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Herpes keratitis findings
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corneal vesicles and dentric ulcers
will be DX by epithelial scrapings showing multinucleatid gian cells previous episodes are common |
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Reaction Formation
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A neurotic defense mechanism: forms an unwanted feeling or thought it the opposite. Hating children but being a high school baseball coach
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ALTRUISM
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Mature defense mechanism that uses persons own bad experience to help other people with the same bad experience.
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Back pain from work
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tell patient to lift with a straight back
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POST NEEDLE STICK PROPHYLAXIS FOR HIV
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only if needle is known to be infected
draw labs start on 2-3 drug therapy then draw serology at 6 wks 3 m and 6 monts rx for 4 months |
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Common findings for Anorexa Nervosa
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Osteoporosis
elevated cholesertol and carotene long qt euthyroid sick syndrome annovulation, ammenorhea estrogen defenciany hyponatremia from h2o excess also mothers even if ok now will have small gestational weight babies along with increase incidence on premies. |
